Ok, so this was unexpected

So, i’m used to hypothyroidism. I know if i miss some, heart rate is low by mid afternoon, feel wiped out. Conversely, if im to high, i feel that too.

So im 40.something, taking levothyroxine.
One of the most troublesome symptoms is an urticaria, usually when temperatures change.

Ive always associated this with a low
thyroid, but my bloods say different.

T4 is 16.4
Tsh is 0.37
T3 is 6.2.

So im thinking an autoimmune flare up?

have your histamine levels checked, maybe a type of allergic response